Hyperintense basal ganglia on T1-weighted magnetic resonance images following postoperative parenteral nutrition in a pancreatoduodenectomized patient.

Abstract:

:The authors reported the magnetic resonance imaging (MRI) detection of manganese (Mn) deposition in the basal ganglia of a pancreatoduodenectomized patient following 30-day parenteral nutrition. A multi-trace element supplement solution including 20 micromol Mn/day was parenterally administered for 30 days postoperatively. The serum level of total bilirubin normalized on the 3rd postoperative day, while the level of alkaline phosphatase continued to exceed the higher limit of normal controls even 2 months after operation. T1-weighted MRI on the 49th postoperative day demonstrated bilateral and symmetrical hyperintense lesions in the globus pallidus. The whole-blood Mn level on the 67th postoperative day was 3.1 (normal range 0.8-2.5) microg/l. T1-weighted MRI on the 103rd postoperative day revealed improvement in the hyperintense lesions, and MRI on the 225th postoperative day revealed no abnormality. The blood Mn level normalized on the 194th postoperative day. Even short-term postoperative parenteral nutrition may result in Mn deposition in the brain, especially in patients with cholestasis following pancreatoduodenectomy.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

Iwase K,Kondoh H,Higaki J,Tanaka Y,Yoshikawa M,Hori S,Osuga K,Kamiike W

doi

10.1159/000018830

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

190-3

issue

2

eissn

0253-4886

issn

1421-9883

pii

18830

journal_volume

17

pub_type

杂志文章
  • Carcinoma of the colon metastatic to the lower gingiva.

    abstract::A case of carcinoma of the colon that metastasized to the lower gingiva is described. The patient who had carcinoma of the colon developed a proliferating lesion at the site of a recent tooth extraction. A few days later, the primary site of the malignancy appeared. The clinical features in such cases were reviewed in...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050166

    authors: Tomikawa M,Higuchi Y,Saku M,Takeshita M,Yoshida K,Sugimachi K

    更新日期:2001-01-01 00:00:00

  • Preoperative administration of rebamipide significantly lowers body temperature and circulating interleukin-6 in gastric cancer patients after gastrectomy.

    abstract:BACKGROUND/AIMS:It has recently been reported that rebamipide (OPC-12759) inhibits inflammatory cytokines and activation of neutrophils. The aim of the present study was to investigate the effects of preoperative administration of rebamipide on parameters of systemic inflammatory response syndrome (SIRS) and serum leve...

    journal_title:Digestive surgery

    pub_type: 临床试验,杂志文章

    doi:10.1159/000073645

    authors: Shimada S,Inoue K,Kuramoto M,Suzuki S,Yamamoto K,Ogawa M

    更新日期:2003-01-01 00:00:00

  • The validity of predicting prognosis by the lymph node ratio in node-positive colon cancer.

    abstract:BACKGROUND/AIMS:Because the TNM system disregards the number of lymph nodes dissected and inter-individual differences exist in the number of regional lymph nodes, the lymph node ratio (LNR), which is estimated by dividing the number of metastatic lymph nodes by the number of dissected lymph nodes, has been proposed as...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000355444

    authors: Sugimoto K,Sakamoto K,Tomiki Y,Goto M,Kojima Y,Komiyama H

    更新日期:2013-01-01 00:00:00

  • Cost-effective utilization of a private facility to perform outpatient surgery in public hospital waiting list patients.

    abstract:BACKGROUND:Public hospitals' long waiting lists make outpatient surgery in private facilities very attractive provided a standardized protocol is applied. The aim of this study was to assess this kind of innovative collaboration in abdominal surgery from a clinical and economical perspective. METHODS:All consecutive p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000330788

    authors: Vuilleumier H,Coquelin G,Wasserfallen JB,Demartines N

    更新日期:2011-01-01 00:00:00

  • Preoperative biliary drainage before resection in obstructive jaundice.

    abstract:BACKGROUND:Surgery for patients with malignant obstructive jaundice carries high morbidity and mortality rates. Preoperative biliary drainage (PBD) has been used in an attempt to improve the outcome in these patients. AIM:To review the evidence in the literature on whether PBD improves postoperative morbidity and mort...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000050105

    authors: Aly EA,Johnson CD

    更新日期:2001-01-01 00:00:00

  • Tonometer pHi monitoring of free jejunal grafts following pharyngolaryngoesophagectomy for hypopharyngeal or cervical esophageal cancer.

    abstract:BACKGROUND/AIMS:Graft failure is a critical complication associated with vascular occlusion in esophageal reconstruction with a free jejunal graft following pharyngolaryngoesophagectomy. In this study, we evaluated the usefulness of intramucosal pH (pHi) measurement using a tonometer to assess the graft viability. MET...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000102902

    authors: Kamiya K,Suzuki S,Mineta H,Konno H

    更新日期:2007-01-01 00:00:00

  • Role of completion pancreatectomy as a damage control option for post-pancreatic surgical complications.

    abstract:INTRODUCTION:Management of pancreatic leak and haemorrhage is complex with high mortality rates. In this study, the results of completion pancreatectomy which was performed as a last resort option were analysed. PATIENTS AND METHODS:25 patients who had completion pancreatectomy from among 677 patients who had pancreat...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000095395

    authors: Tamijmarane A,Ahmed I,Bhati CS,Mirza DF,Mayer AD,Buckels JA,Bramhall SR

    更新日期:2006-01-01 00:00:00

  • Prognostic Factors after Curative Resection for Single-Lesion Hepatocellular Carcinoma in Patients with Normal Liver Function: A Historical Cohort Study.

    abstract:BACKGROUND:Hepatic resection for hepatocellular carcinoma (HCC) is now established as the treatment most likely to yield the best outcome. We aimed to clarify the risk factors for HCC recurrence after curative resection of single HCC in patients with normal liver function (NLF). METHODS:The clinical records of 105 pat...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000451066

    authors: Shimoda M,Tago K,Kato M,Aoki T,Kubota K

    更新日期:2017-01-01 00:00:00

  • Risk factors for conversion during laparoscopic cholecystectomy: retrospective analysis of ten years' experience at a single tertiary referral centre.

    abstract:BACKGROUND/PURPOSE:Laparoscopic cholecystectomy (LC) is the standard treatment for symptomatic benign gallbladder disease. The identification of factors that reliably predict the need to convert LC to open cholecystectomy (OC) would help with patient education and counseling. METHODS:Between January 2000 and December ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000347164

    authors: Sultan AM,El Nakeeb A,Elshehawy T,Elhemmaly M,Elhanafy E,Atef E

    更新日期:2013-01-01 00:00:00

  • Differences in Post-Cholecystectomy Bile Duct Injury Care: A Comparative Analysis of 2 Different Health-Care Public Institutions in a Low- and Middle-Income Country: Southeast Mexico.

    abstract:BACKGROUND:Mexican health system structure allows us to study the differences in bile duct injury (BDI) management. The study aimed to assess the differences in patients with complex BDI in 2 different public sector institutions using a new proposed standard terminology. METHODS:Retrospective review (2008-2019) in 2 p...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000509706

    authors: Martínez-Mier G,Moreno-Ley PI,Esquivel-Torres S,Gonzalez-Grajeda JL,Mendez-Rico D

    更新日期:2020-01-01 00:00:00

  • Surgical treatment of achalasia: current status and controversies.

    abstract:OBJECTIVE:To review the current management of achalasia, and the controversies regarding the different treatment options. METHODS:A review of the literature was performed. The key words used were esophageal achalasia, Heller myotomy, endoscopic balloon dilatation, laparoscopic Heller myotomy, and fundoplication. RESU...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000079341

    authors: Abir F,Modlin I,Kidd M,Bell R

    更新日期:2004-01-01 00:00:00

  • Optimal Timing of Removal of Epidural and Urethral Catheters to Avoid Postoperative Urinary Retention Undergoing Abdominal Surgery.

    abstract:BACKGROUND/AIMS:Postoperative urinary retention (POUR) is one of the most frequent complications of epidural anesthesia. This study aims to clarify risk factors of POUR and to estimate the appropriate timing of urethral catheter removal. METHODS:Between September and December 2014, a retrospective cohort study was con...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000490199

    authors: Hayami S,Ueno M,Kawai M,Kuriyama T,Kawamata T,Yamaue H

    更新日期:2019-01-01 00:00:00

  • Malignant insulinoma in ectopic pancreatic tissue.

    abstract:BACKGROUND:Both ectopic pancreatic tissue and malignant insulinoma are rare. We encountered the combination of these rare entities in a patient demonstrating hypoglycemic symptoms. METHOD:A patient with episodic hypoglycemia, non-suppressed serum insulin levels, positive fasting test and a positive localization on bot...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000090998

    authors: Hennings J,Garske U,Botling J,Hellman P

    更新日期:2005-01-01 00:00:00

  • Postoperative hematological changes after spleen-preserving distal pancreatectomy with preservation of the splenic artery and vein.

    abstract:BACKGROUND:The aim of this study was to determine the early postoperative hematological changes after spleen-preserving distal pancreatectomy (SpDP) with preservation of the splenic artery and vein (PSAV). METHODS:We reviewed 53 patients who underwent SpDP with PSAV (n = 21) or distal pancreatectomy with splenectomy (...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000337312

    authors: Tezuka K,Kimura W,Hirai I,Moriya T,Watanabe T,Yano M

    更新日期:2012-01-01 00:00:00

  • Posthepatectomy bile leakage: how to manage.

    abstract:BACKGROUND:Biliary leakage after liver resection continues to be reported. Management of bile leakage has changed in recent years, with nowadays non-surgical procedures as the preferred treatment. METHODS:Biliary leakage and management were assessed in 381 patients who underwent liver resection between January 2005 an...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000335734

    authors: Hoekstra LT,van Gulik TM,Gouma DJ,Busch OR

    更新日期:2012-01-01 00:00:00

  • Endoscope-assisted thoracoscopic technique for esophageal bronchogenic cyst which presented elevated CA125.

    abstract::A 26-year-old male was admitted to our hospital with a complaint of mild dysphagia. Preoperative examinations revealed a cystic lesion at the lower esophagus, thought to be a bronchogenic cyst. The patient underwent successful thoracoscopic tumor extirpation, assisted by endoscopy, without undergoing major thoracotomy...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000094751

    authors: Akutsu Y,Matsubara H,Hayashi H,Okazumi S,Aoki T,Kozu T,Ochiai T

    更新日期:2006-01-01 00:00:00

  • Electrocoagulation of perianal warts: a word of caution.

    abstract:BACKGROUND:Perianal warts are common, and may be extensive. Electrocoagulation is a recognised management option. METHOD:A 20-year-old male underwent electrocautery of extensive perianal warts. He presented 3 months postoperatively with constipation and inability to defecate. Examination revealed severe perianal stric...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018856

    authors: Ammori BJ,Ausobsky JR

    更新日期:2000-01-01 00:00:00

  • Impact of Fluorine-18 2-Fluoro-2-Deoxy-D-Glucose Uptake on Preoperative Positron Emission Tomography/Computed Tomography in the Lymph Nodes of Patients with Primary Colorectal Cancer.

    abstract:BACKGROUND/AIMS:Although the diagnostic value of fluorine-18 2-fluoro-2-deoxy-D-glucose (F-18-FDG) positron emission tomography/computed tomography (F-18-FDG-PET/CT) in patients with colorectal cancer (CRC) has been reported, the association between the F-18-FDG uptake in metastatic lymph nodes (FDGLN) and clinicopatho...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000448222

    authors: Sasaki K,Kawasaki H,Sato M,Koyama K,Yoshimi F,Nagai H

    更新日期:2017-01-01 00:00:00

  • Sclerosing encapsulating peritonitis: early and late results of surgical management in 32 cases. French Associations for Surgical Research.

    abstract:OBJECTIVE:To propose guidelines for treatment based on the study of early and late outcome after various surgical procedures for sclerosing encapsulating peritonitis (SEP). PRIMARY BACKGROUND DATA: SEP is rare. The main complication is intestinal obstruction. Ideal treatment is resection of the membrane, whenever possi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究,评审

    doi:10.1159/000018681

    authors: Célicout B,Levard H,Hay J,Msika S,Fingerhut A,Pelissier E

    更新日期:1998-01-01 00:00:00

  • Multivisceral Resection for Locally Invasive Colorectal Liver Metastases: Outcomes of a Matched Cohort Analysis.

    abstract::Local invasion of adjacent viscera by colorectal liver metastases (CRLM) is no longer considered an absolute contraindication to curative hepatic resection. A growing number of observational analyses have illustrated the feasibility of such resections; however, the evidence base is at best heterogeneous with a lack of...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000485198

    authors: Hand F,Sanabria Mateos R,Durand M,Fennelly D,McDermott R,Maguire D,Geoghegan J,Winter D,Hoti E

    更新日期:2018-01-01 00:00:00

  • Postoperative joint symptoms: a risk factor for pouchitis in ulcerative colitis patients.

    abstract:BACKGROUND:The prevalence and significance of joint symptoms appearing in patients with ulcerative colitis (UC) following a colectomy are unclear. AIM:We investigated the relationship between joint symptoms during steroid tapering following an ileal pouch-anal anastomosis (IPAA) and the cumulative risk for developing ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000093495

    authors: Nakamura M,Ikeuchi H,Nakano H,Uchino M,Noda M,Yanagi H,Yamamura T

    更新日期:2006-01-01 00:00:00

  • Evaluation of postoperative long-term quality of life after laparoscopic anterior partial fundoplication in the treatment of gastroesophageal reflux disease.

    abstract:BACKGROUND:In the treatment of gastroesophageal reflux disease (GERD), anterior fundoplications are emphasized for their lower risk of complications compared to the posterior approach. AIM:The aim of this study was to evaluate the long-term results of laparoscopic anterior 180 degrees fundoplication in consideration o...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000235959

    authors: Raue W,Menenakos C,Braumann C,Trache D,Hartmann J

    更新日期:2009-01-01 00:00:00

  • Robotics in colorectal surgery.

    abstract::Minimally invasive surgery has been shown to offer many advantages to general surgical patients but has not been widely adopted for colorectal disease. Initial fears surrounding the oncological safety of laparoscopic colectomies have largely subsided but the technical challenges still remain. Surgical robots or telema...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000081350

    authors: Hance J,Rockall T,Darzi A

    更新日期:2004-01-01 00:00:00

  • 30-Day Postoperative Morbidity of Emergency Surgery for Obstructive Right- and Left-Sided Colon Cancer in Obese Patients: A Multicenter Cohort Study of the French Surgical Association.

    abstract:BACKGROUND:Emergency surgery impairs postoperative outcomes in colorectal cancer patients. No study has assessed the relationship between obesity and postoperative results in this setting. OBJECTIVE:To compare the results of emergency surgery for obstructive colon cancer (OCC) in an obese patient population with those...

    journal_title:Digestive surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000497450

    authors: Genser L,Manceau G,Mege D,Bridoux V,Lakkis Z,Venara A,Voron T,Bege T,Sielezneff I,Karoui M,on behalf of the AFC (French Surgical Association) Working Group.

    更新日期:2020-01-01 00:00:00

  • Interleukin-6 -634G>C genetic polymorphism is associated with prognosis following surgery for advanced thoracic esophageal squamous cell carcinoma.

    abstract:OBJECTIVE:Systemic and/or local interleukin-6 (IL-6) reportedly plays an active role in the progression and prognosis of thoracic esophageal squamous cell carcinoma (TESCC). We assessed the associations between IL-6 and IL-6 receptor (IL-6R) genetic polymorphisms, tumoral IL-6 expression and survival rates following su...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000336952

    authors: Motoyama S,Nakatsu T,Miura M,Hinai Y,Minamiya Y,Ogawa J

    更新日期:2012-01-01 00:00:00

  • Management and Outcome of 64 Patients with Pancreatic Serous Cystic Neoplasms.

    abstract:BACKGROUND:The optimal management approach to pancreatic serous cystic neoplasms (SCNs) is still evolving. METHODS:Consecutive patients with SCN managed at the Liverpool Pancreas Cancer Centre between 2000 and 2013 were retrospectively reviewed. RESULTS:There were 64 patients consisting of 39 women (60.9%) and 25 men...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000442094

    authors: Gomatos IP,Halloran C,Ghaneh P,Raraty M,Polydoros F,Campbell F,Evans J,Sutton R,Garry J,Whelan P,Neoptolemos JP

    更新日期:2016-01-01 00:00:00

  • Evaluation of splenic circulation after spleen-preserving distal pancreatectomy by dividing the splenic artery and vein.

    abstract:BACKGROUND/AIM:In the present study, we investigated the acute and late phases of splenic circulation after spleen-preserving distal pancreatectomy (SPDP) involving the division of splenic vessels. METHODS:An acute phase of splenic circulation was evaluated by laser flow meter and the late phase was estimated by (99m)...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000051952

    authors: Sato Y,Shimoda S,Takeda N,Tanaka N,Hatakeyama K

    更新日期:2000-01-01 00:00:00

  • Early perioperative results and surgical recurrence after strictureplasty and miniresection for complicated Crohn's disease.

    abstract:BACKGROUND/AIMS:Strictureplasty (SP) or miniresective 'bowel-sparing' techniques (MR) can prevent the risk of intestinal stomia and short bowel syndrome in patients affected by Crohn's disease (CD). The aim of this study was to analyze the perioperative morbidity and mortality in 104 of 138 consecutive patients treated...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018845

    authors: Sampietro GM,Cristaldi M,Porretta T,Montecamozzo G,Danelli P,Taschieri AM

    更新日期:2000-01-01 00:00:00

  • Trans- and retroperitoneal endoscopic adrenalectomy: experience in 26 consecutive adrenalectomies.

    abstract:OBJECTIVE:To assess our current concept and results of transperitoneal laparoscopic adrenalectomy (TPLA) and retroperitoneal endoscopic adrenalectomy (ERA) for a variety of benign disorders of the adrenal glands. BACKGROUND DATA:According to the literature, minimal invasive adrenalectomy has shown to be a safe and eff...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000075823

    authors: Giger U,Vonlanthen R,Michel JM,Krähenbühl L

    更新日期:2004-01-01 00:00:00

  • Characteristics and evolution of extraintestinal manifestations associated with ulcerative colitis after proctocolectomy.

    abstract:AIMS:Describe the characteristics of extraintestinal manifestations complicating ulcerative colitis present preoperatively and determine their evolution after surgery. METHODS:Between 1976 and 1986, 281 patients with ulcerative colitis exhibiting one or more extraintestinal manifestations (EIM) before either IPAA (n =...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050097

    authors: Goudet P,Dozois RR,Kelly KA,Ilstrup DM,Phillips SF

    更新日期:2001-01-01 00:00:00